Dad's CPAP Guide

Everything you need — setup, settings, and daily use

MAISIWEI M04  ·  CPAP + APAP + Bi-level  ·  4–25 cmH₂O
What is cmH₂O? The pressure unit this machine uses. 1 cmH₂O = the pressure to push water up 1 cm. Very gentle — like blowing softly through a straw. Typical range is 6–12 cmH₂O.
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Controls — only 2
Start / Stop button  启动/停止
  • On home screen → starts therapy
  • During therapy → stops therapy
  • Hold this + knob together → opens the hidden pressure/mode menu
Rotary knob  旋钮
  • Turn → move cursor or change a value
  • Press → select or save
  • When a setting is editable, the text turns orange
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Home Screen Tiles

What you see on the screen when the machine is on but not running therapy.

  • Preheat  预加热
    Warms the water ~10 min before bed
  • Humidity  加温加湿
    Moisture level 0–6. Start at 2–3.
  • Ramp  延时升压
    Pressure starts low, climbs slowly. Set 20–30 min.
  • Settings  设置
    Language, brightness, units, factory reset
  • Info  信息
    View AHI score, hours used, session length
  • Alerts  提示
    Warning thresholds — leave at defaults
Humidity levels
  • 0Off
  • 1–2Light · Start here
  • 3–4Medium · good for air-con rooms
  • 5–6High · risk of water dripping in tube
Water rule Distilled water only. No tap water. Change daily. Fill between MIN and MAX lines — never overfill.
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Setting Pressure & Mode
How to enter the pressure menu On the home screen — hold Start (启动) and the knob at the same time. Hold until the menu appears.
Choose a mode  通气模式
CPAP — Fixed pressure

One pressure all night. Best once a doctor has prescribed the exact number.

APAP — Auto pressure ← use this

Sets a min and max range. Machine adjusts automatically — raises when it detects apnea, lowers when breathing is fine. Best for beginners.

S / T / ST — Bi-level (doctor-prescribed only)

Two pressures: one for inhale, one for exhale. Only use if a doctor has specifically prescribed it.

APAP pressure settings
  • Initial pressure  初始压力
    Starting pressure (before ramp climbs). Must be ≤ min pressure.
    4.0
  • Min pressure  最小治疗压力
    Lowest the machine will go when breathing is normal.
    4.0
  • Max pressure  最大治疗压力
    Highest it will go when apnea is detected.
    12.0

All in cmH₂O · Adjust in steps of 0.5 · Range 4–25

After 1–2 weeks, check the Info screen → AHI. If it's still above 5, raise max to 14.0 and monitor another week.
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Readings Explained
AHI  AHI指数
Goal < 5

The most important number. Apnea events per hour — how many times breathing stopped or became shallow.

Normal
<5
Mild
5–15
Moderate
15–30
Severe
>30

Check this every morning via Home → Info (信息).

Tidal Volume (VT)  潮气量
400–600 mL

Air per single breath. Below ~300 mL = check for leaks or obstruction.

Leakage  漏气量
< 24 L/min

Air escaping the mask per minute. High leakage = mask fit problem, not a pressure problem. Reposition the mask.

Minute Ventilation (MV)  分钟通气量
4–8 L/min

Total air moved per minute (= VT × RR). Too low = not enough air moving.

Respiratory Rate (RR)  呼吸频率
10–16 /min

Breaths per minute during sleep. Consistently low RR → check AHI for apnea.

T&H Level  加温加湿
Comfort only

No medical target. Dry mouth in morning → go up. Water dripping in tube → go down.

Quick diagnosis High leakage + low VT → fix the mask seal.
Normal leakage + low MV → may need higher max pressure.
Low RR + high AHI → apnea events happening, check pressure settings.
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Cleaning & Maintenance
Always turn off and unplug before cleaning. Never submerge the main unit.
Daily
  • Humidifier waterEmpty and refill with fresh distilled water
Weekly
  • Humidifier
    Soak in mild detergent · rinse with water ≤41°C · air dry
  • Tube
    Rinse inside · hang to dry away from sunlight
  • Air filter
    Replace when grey/dirty. Replace immediately if torn.
  • Main unit
    Wipe with damp cloth · dry before use
Every time you move it
  • Empty humidifierWater spills into the machine if tilted
No ethanol above 75%. No bleach. Never clean while plugged in. All parts must be fully dry before reassembling.
Warranty: Main unit 2 years · Adapter 1 year · Humidifier 90 days
Supplier: 0318-8581858 (Mon–Fri 8:30–11:30, 14:30–17:30)
First Week Checklist
Setup — do once
  • Enter pressure menu (hold Start + knob) → set mode to APAP
    通气模式
  • Set initial pressure → 4.0, min → 4.0, max → 12.0
    初始/最小/最大治疗压力
  • Home screen → Ramp (延时升压) → set 20–30 min
  • Home screen → Humidity (加温加湿) → set level 2–3
  • Fill humidifier with distilled water (between MIN and MAX lines)
  • Insert SD card (side slot) — logs therapy data
Every morning
  • Home → Info (信息) → check AHI
    Goal: below 5. Also check Average Leak — if high, adjust mask fit.
  • Empty humidifier water, refill with fresh distilled water
After 7–14 days
AHI consistently < 5 and Dad sleeps well → you're done.

AHI still high → raise max pressure to 14.0–15.0 and monitor another week.
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Error Messages
  • 系统泄漏 Large air leak
    → Check tube connections at both ends
  • 管路堵塞 Tube blocked
    → Check tube is not kinked or squashed
  • 管路脱落 Tube disconnected
    → Reconnect tube to the air outlet
  • 压力过高 / 压力过低 Pressure sensor fault
    → Restart machine. Still showing? Call supplier.
  • 电源故障 Power fault
    → Check adapter and power cord
  • 电机异常 Motor fault
    → Restart. Still showing? Call supplier: 0318-8581858
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Warning Signs — Stop & Call Doctor
Stop using immediately if: Chest pain · Severe headache · Breathing getting worse · Viral or upper-airway infection
Do not use if: Collapsed lung · Severe respiratory failure · Active nosebleed · Recent facial/nasal surgery · Very low blood pressure or shock
Fire risk Keep at least 1 metre from open flame or supplemental oxygen. No smoking near the machine.

This is not a life-support device. A power cut will not cause an emergency — the machine simply stops.